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ARTICLE The Predictive Role of Maladaptive Parental Behaviors, Early Sleep Problems, and Child/Mother Psychological Factors Vale´rie Simard, MSc, MPs; Tore A. Nielsen, PhD; Richard E. Tremblay, PhD; Michel Boivin, PhD; Jacques Y. Montplaisir, MD, PhD Objective: To determine if maladaptive parental be- ent at sleep onset, giving food/drink after child awak- haviors (at age 29-41 months) and mother/child psycho- ens) at ages 29 and 41 months. Some parental behaviors logical characteristics predict future sleep disturbances in turn predicted future BD, TST less than 10 hours/ in 50-month-old to 6-year-old preschoolers, while con- night, and SOL of 15 minutes or more. However, most trolling for early (age 5-17 months) sleep and sociode- relationships did not remain significant in adjusted mod- mographic factors. els that controlled for early sleep problems. Bad dreams were predicted by psychological variables (child’s anxi- Design: Randomized survey; children assessed annu- ety, mother’s feeling of efficacy), as was TST (child’s dif- ally from 5 months to 6 years of age. ficult temperament and anxiety, mother’s depressive symptoms). However, SOL of 15 minutes or more was Setting: Participants’ homes. predicted by several parental behaviors even in adjusted models; cosleeping after awakenings was a risk factor while Participants: Representative
JAMA Pediatrics – American Medical Association
Published: Apr 1, 2008
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